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ARMED FORCES MEDICAL COLLEGE(AFMC)

Admission - 2013

Student Copy

Congratulation!!
MD. MAHMUDUL HASAN, your application is initially submitted to AFMC. Your User ID/Invoice Number is JCWIDZ. Please keep this
number to pay application fee (Tk. 500.00) within 2013-09-18 23:29:10 [YYYY-MM-DD hrs:min:sec] from any Teletalk prepaid mobile
phone to complete your form submission process. To deposit the fee: Open text message option from Teletalk mobile phone and type,
AFMC <space> <User ID> and send to 16222 [Example : AFMC JCWIDZ]
Applicant's Name

MD. MAHMUDUL HASAN

Father's Name

MD. AZIZUL HAQUE

Mother's Name

REHANA AZIZ

Gender

Male

Date of Birth

1996-06-05

Nationality

Bangladeshi

Contact Mobile

01199489188

Special Quota

None

Cadet Category

AFMC

Occupation of Parents

Govt/Semi Govt/Auto

SSC/Equivalent Result

5.00 [Without 4th subject: 4.88]

HSC/Equivalent Result

5.00 [Without 4th subject: 4.83]

I, MD. MAHMUDUL HASAN do hereby certify that I am unmarried and the information furnished in this form is complete and true. Any false
information given in this form, identified at any stage of admission process will lead to the cancellation of my admission in AFMC. I also know that
as per merit and quota first 4000(appx) will get admit card for entrance examination.

User ID/Invoice Number : JCWIDZ

[Applicant's Signature]

2013 AFMC, Armed Forces Medical College, All Rights Reserved.

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